Individual
JEFF ZICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3408 23RD AVE W, BRADENTON, FL 34205-2128
(847) 951-8475
Mailing address
3408 23RD AVE W, BRADENTON, FL 34205-2128
Taxonomy
Speciality
Code
Description
License number
State
2278G1100X
General Care Certified Respiratory Therapist
Primary
A-7223
NC
Other
Enumeration date
11/11/2013
Last updated
11/11/2013
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